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Single centre observational study to assess lower extremity arterial disease (LEAD) patients' cardiac dysfunction with strain analyses and to assess connections between cardiac dysfunction, metabolomic changes and target organ damage in LEAD.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LEAD | LEAD diagnosis confirmed by by ankle-brachial index (≤0,9 or >1,3) or angiography. Fontaine I-IV class symptoms. | ||
| Controls | Matched with LEAD group's patients as much as possible for age, sex, smoking history, hypertension, diabetes, coronary artery disease. |
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| Measure | Description | Time Frame |
|---|---|---|
| left ventricular global longitudinal strain (GLS) | assessed by deformation analysis with echocardiography | after enrollment and one year later |
| Measure | Description | Time Frame |
|---|---|---|
| other echocardiographic parameters | left ventricular ejection fraction, left atrial strain, lateral, medial and averaged E/E', left atrial volume, maximal tricuspid regurgitation velocity, right ventricular strain | after enrollment and one year later |
| heart failure diagnosis |
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Inclusion Criteria in LEAD group:
Inclusion Criteria in control group:
Exclusion Criteria:
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Patients with cardiovascular risk factors
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jaak Kals, PhD | Contact | 731 8292 | +372 | jaak.kals@ut.ee |
| Name | Affiliation | Role |
|---|---|---|
| Jaak Kals, PhD | Tartu University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tartu University Hospital | Recruiting | Tartu | Estonia |
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| Label | URL |
|---|---|
| Endothelial Research Centre | View source |
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| ID | Term |
|---|---|
| D058729 | Peripheral Arterial Disease |
| D006333 | Heart Failure |
| ID | Term |
|---|---|
| D050197 | Atherosclerosis |
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |
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Whole blood, serum, plasma.
according to European Society of Cardiology year 2021 heart failure guideline (i.e assessment of symptoms, ECG, natriuretic peptides) |
| after enrollment and if necessary, reassessment one year later |
| arterial stiffness | peripheral/central blood pressure, augmentation index, pulse wave velocity in aorta | after enrollment and one year later |
| cardiac- and renal injury markers | high-sensitivoty troponin T, natriuretic peptides (NT-proBNP), cystatine C, creatinine, urea, calculated eGFR | after enrollment and one year later |
| metabolomics | low molecular weight metabolites | after enrollment and one year later |
| markers of oxidative stress | oxidated LDL, interleukine-18, myeloperoxidase, isoprostanes | after enrollment and one year later |
| D002318 |
| Cardiovascular Diseases |
| D016491 | Peripheral Vascular Diseases |
| D006331 | Heart Diseases |